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Nt7TICE O� DEED RESTRtCTtONS: The undersigned�understands that this perrnit may be subject to"deed" restrictians"
<br /> which may be more restcictive than Caunty regulatians. The undersigned'assumes respansibility for compliance witli any
<br /> applicable deed restrictions. .
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR FtESPONSIBILITIES: If the awner has hired a contractor or
<br /> contrackors to undertake wark, they may be required to be licensed in accordance v�rith state and locai regulations. If the
<br /> canfractar is not licensed as required by taw, both the awner and contractor may be cifed far a misdemeanor violation
<br />� under s#ate law. If the owner ar intended contractar are uncertain as fo;what licensing requirements may apply�for khe
<br /> li in�ended work, they are acfvised to canfact the Pasco County 8uilding Inspection Division—Licensing Se'ctian at;727.,=847=�..�' �`��
<br /> 8009.= Furthermore, if the owner has hired a contrackar or contrackors; he is advised to have the'contractor(s)� s'ign�. �:
<br /> poetions of the "contracCor Block" of #his applieafion for t+vfiich they wi11 b� resportsible. 1f you, as tfie owner 5ign as:Ehe
<br /> confracfor, fhak may be an indication that he is not properly licensed and;is not erititled to ermittin rivile es in Pasco
<br /> P 9P 9
<br />' County. , �
<br /> I TRANSPORTATtQN IMPACTlUTI�ITIES 1MPACT AND-RESOURCE RECOVERY FEE�; The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply�to the construction of new buildings, change of
<br /> use in exisfing buildings, or expansion of exisfing buildi�tgs, as specifisd iin Pasco County Ordinance number 89-07 and
<br />�I 90-07, as amended. The undersigned also understands, that such fees,;as may be due, will be identified at the time of
<br /> permitting. It is further unders#ood that Transportation Impact �ees and Resource Recovery Fees must be pai� prior to �
<br /> receiving a "cerfificate of occupancy" or finai power release. lf the project does not irivalve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if F'asco County WaterlSewer lmpact
<br /> fees are due, they must be.paid priar#o permit issuance in accordance vuifh applicable Pasco County ordinances..., � .
<br /> CONSTRUCTION L:IEN LAW(Chapter 713, Florida Statutes; as amend,ed): If valuation of work is $2;500;00 or`more, l , .
<br /> certify that 1, the appfRcant, have bsen provided with a copy. of the ".Flaricfa Construc�ion Lierf Law=Nomeow�ter's ,
<br /> Protectian Guide" prepared by the Florida Department af Agriculture and.;Consumer Affairs. If the applicant is someone
<br /> other than the 'bwner", I certify that ! have obtained a copy of the;above descrEbec! documenE and promise in good faith to �
<br /> deliver it fo fhe"owner" prior to eommeneement.
<br /> CONTRACT�R'S/OWNER'S AFFIDAVIT: ( certify that al) the informatiori in this application is accurate and that all work
<br /> will be done in compliance wi#h�a#I appiicable laws regulating consfruction, zoning and land development. Appiication is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced priar to issuance of a permft and that all work.wilf be per,formed to meet standards of all laws regulatirig
<br /> construction, County and City cades, zoning regulations, and land develapment regulations in the jurisdiction. I also
<br /> certify khat I understand thaf the regulations of other government agencies may apply to.the inkended wo�k, and tliat it 4s
<br /> my responsibiiity to identify w�at acfions I must take fo be in compliance. Such agencies include but are riot tiinited to:, �,
<br /> - Department af Environmental Protectian-Cypr.ess Bayheads,;Wetland Areas and Environmentally. Sensitive :
<br /> �artds, WaterlWasEewater Treatmenf. � - � "
<br /> , .
<br /> - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses. , ,
<br /> - Army Corps oF Engineers=Seawalls, Docks, Navigabfe Vllaterways.
<br /> - Departmenk of Health & Rehabilitative Services/Environmer►tal Healkh Unik-Wells, Wastewater Treatment,
<br /> Sepfic Tanks. , ' �
<br /> - US Environmental Frotection Agency-Asbestos abatement. �
<br /> - Federai.Aviation Aut�i�rity-Runways. .�
<br /> �, I understand that the following restrictions apply to the use of fill:
<br /> ' - . Use of fiN is nat aflowed in �lood Zc�ne"V"unless expressly permitted.4 . -
<br /> ', - (f the fiil maferiai is to be used in Flood Zane "A", it is understood fhat �a d�ainage �plan addressing a
<br /> "campensating volume" will,be submitked at time of.permitting which is prepared by a professiona!,�ngineer
<br /> iicensed by fhe S#ate of Florida. ' i .
<br /> - If the fill material is to be used in Flood Zane "A" in ,cannection with a permitted building using stem walf
<br /> construction, 1 certify that fill will be used onfy#o fift the area wifhin fhe stem watl. �
<br /> - . If fill material is to be used in any area, I certify that use� af such fill will not adversely affect adjacent
<br /> properties. If use of fiA is found to adversely affect adjacent properties, the owner may be cited €or violating
<br /> il the conditions of the bui(ding permit issued under the attached permit app(ication, for (ats less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is;required. '
<br /> ; If 1 am fhe AGEN�"FOR THE OVI►NER, ! promise in good faith ta inform tiie owner of fhe permit#ing candititins set farth in
<br /> this affidavit prior to commencing construction. I understand #hat a separake permit may be required for electrical work,
<br /> �Ipfumbing, s'sgns, wells, poals, air conditioning, gas, or other installations not.specifically included in the applicafion. A
<br /> , permit issued shall be construed to be a license to proceed wikfi the work and not as aukhority�€a;violate, cancel, alte�, or
<br /> ' sek aside any provisions of the technica! codes, nor shall issuance of a permit prevent the�Building Official from thereafter
<br /> requiring a correcfion of errors in plans, constructian or vio(ations of any c.odes. Every. permit issued shall becorne invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work autho"rized �y
<br /> the permi# is setspended or a6andoned fo�a perioc! of six (6}months aFEer�th�time the work is commenced. An exfension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90)'days and wil! demonstrate
<br /> }ustifiable cause far the extension. If work ceases for ninety{90)consecufive days, the job is cansideeed abandoned.
<br /> WARNING TU OWNER: YOUR FAILURE 70 RECORD A NOTICE OF COMMENCEMENT MA.Y RESULT IN YtJ.UR
<br /> PAYING TW10E Ft16Z IMPROVEMENTS TU VOUR PR4PERTY. IF YaU INTEND TO t�BTA1N FlNANCING, CONSU�T
<br /> WITH YClUR LENDER OR AN A`TTORNEY BEFOR� RECORDING YOUR NOTICE OF COMMENCEMEN`['.
<br /> Fl.C1F2tQA JURAT{�:5.917 Q3} - -- --
<br /> OWNER OR AGENT � CONTRACTOR
<br /> Subscribe sworn to{or a ed}be re me this Sabscribed end swom ta{ar a�rmed}before me th9s
<br /> l4-��� �l ����� br :
<br /> Who is/ar rsonally know to me or has/have oduced Who Is/are personally known to me or has/have produced . �
<br /> as identlffcafi . as identificatian.
<br /> �{ ��Notary Public ._ IVotary Pub�ic
<br /> ;.
<br /> Co slon a. ' Commisslan No, �
<br /> ,�� ``�PYIIb� JACQU U��OGE�.
<br /> '�`' Name of Notary fyped,prinfed or sfamp�d
<br /> Narrie� �t}� '
<br /> rr% -
<br /> �: ._, :,; E�cpires December 12,2014 ,
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